Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy

2013 ◽  
Vol 84 (5) ◽  
pp. 391-393 ◽  
Author(s):  
Christopher Arnold Jeffery ◽  
Simon J. Quinn ◽  
John M. Quinn
Keyword(s):  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial

Examination of the Origin and Branching Direction of the Anterior Medial Malleolar Artery From the Anterior Tibial Artery: A Cadaveric Study

2018 ◽  
Vol 12 (2) ◽  
pp. 167-171 ◽  
Author(s):  
Ichiro Tonogai ◽  
Fumio Hayashi ◽  
Yoshihiro Tsuruo ◽  
Koichi Sairyo
Keyword(s):  
Ankle Joint ◽  
Sagittal Plane ◽  
External Iliac Artery ◽  
Longitudinal Axis ◽  
Cadaveric Study ◽  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Branching Point

Background. This study characterized the anterior medial malleolar artery (AMMA) branching from the anterior tibial artery (ATA) to identify problems in anterior ankle arthroscopy possibly contributing to injury to the AMMA. Methods. Barium was injected into 12 adult cadaveric feet via the external iliac artery and the origin and branching direction of the AMMA were identified on computed tomography. Results. The AMMA originated from the level of the ankle joint and below and above the ankle joint line (AJL) in 4 (33.3%), 6 (50.0%), and 1 (8.3%) specimen, respectively. Mean distance from the AJL to the branching point of the AMMA on the sagittal plane was 2.5 mm distal to the AJL. Mean angle between the distal longitudinal axis of the ATA and AMMA was 83.2°. Conclusions. This study established the origin and branching of the AMMA from the ATA. The AMMA should be examined carefully during ankle arthroscopy. Levels of Evidence: Level IV: Cadaveric study

Distance Between the Anterior Distal Tibial Edge and the Anterior Tibial Artery in Distraction and Nondistraction During Anterior Ankle Arthroscopy: A Cadaveric Study

2017 ◽  
Vol 39 (1) ◽  
pp. 113-118 ◽  
Author(s):  
Ichiro Tonogai ◽  
Fumio Hayashi ◽  
Yoshihiro Tsuruo ◽  
Koichi Sairyo
Keyword(s):  
Arthroscopic Surgery ◽  
Joint Space ◽  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Saline Injection ◽  
Ct Scanner ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Fresh Frozen ◽  
Space Expansion

Background: Anterior ankle arthroscopy is widely applied for various osteoarthropathies. However, distraction of the ankle may put the anterior tibial artery (ATA) at risk of injury during the procedure. The purpose of this study was to assess the difference in the distance between the anterior distal tibial edge and the ATA in distraction and nondistraction of the ankle with joint space expansion by saline injection into the joint. Methods: Eight whole fresh-frozen cadaveric feet (mean age 78.9 years) were used. Barium sulfate suspension was injected into the popliteal artery of each specimen, and the distance from 3 aspects of the anterior distal tibial edge to the ATA was measured to evaluate the possibility of damage to the ATA based on computed tomography (CT) scans, in ankle distraction and nondistraction, using a traction device developed for reproducible ankle positioning inside the CT scanner. Results: The distance between the ATA and the most proximal, middle, and distal parts of the anterior distal tibial edge was 0.5 mm, 3.9 mm, and 7.4 mm, respectively, without saline injection, and 3.7 mm, 7.2 mm, and 11.6 mm, respectively, with saline injection, in nondistraction. The distance was 2.2 mm, 5.9 mm, and 9.8 mm, respectively, with 5-kg distraction, and 1.7 mm, 5.1 mm, and 8.8 mm, respectively, with 10-kg distraction, both with saline injection, respectively. Conclusion: The distance between the anterior distal tibial edge and the ATA with joint space expansion by saline injection into the joint increased, and that distance in distraction of the ankle decreased during anterior arthroscopic surgery. Clinical Relevance: The anatomic relationship of the ATA to its surrounding structures may be at more risk without saline injection or with distraction during anterior ankle arthroscopy.

Anterior Tibial Artery Pseudoaneurysm following Ankle Arthroscopy in a Hemophiliac Patient

2016 ◽  
Vol 34 ◽  
pp. 269.e17-269.e19 ◽  
Author(s):  
Khalil H. Chamseddin ◽  
Melissa L. Kirkwood
Keyword(s):  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Hemophiliac Patient

Anterior tibial artery pseudoaneurysm after ankle arthroscopy

1998 ◽  
Vol 6 (6) ◽  
pp. 604-606 ◽  
Author(s):  
C Salgado
Keyword(s):  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibial Artery ◽  
Anterior Tibial

scholarly journals Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Ichiro Tonogai ◽  
Eiki Fujimoto ◽  
Koichi Sairyo
Keyword(s):  
Ankle Joint ◽  
Vascular Complications ◽  
Posterior Tibial Artery ◽  
Ankle Arthroscopy ◽  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Foot And Ankle ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Anterior Tibial

The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient presented with a pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy for traumatic osteoarthritis associated with nonunion of the medial malleolus. The perforating peroneal artery injury was repaired by performing end-to-end anastomosis. The perforating peroneal artery is at higher risk for iatrogenic injury during ankle arthroscopy in the presence of abnormal arterial variations of the foot and ankle, particularly the absence of the anterior tibial artery and posterior tibial artery. Before ankle arthroscopy, surgeons should therefore carefully observe the course of the perforating peroneal artery on enhanced 3-dimensional computed tomography, especially in patients with a history of trauma to the ankle joint.

Pseudoaneurysm of the Anterior Tibial Artery after Ankle Arthroscopy

2011 ◽  
Vol 50 (3) ◽  
pp. 361-363 ◽  
Author(s):  
Eva Jacobs ◽  
Diederik Groot ◽  
Marco Das ◽  
Joris P.S. Hermus
Keyword(s):  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial

Pseudoaneurysm of the Anterior Tibial Artery: A Complication of Ankle Arthroscopy

2011 ◽  
Vol 111 (6) ◽  
pp. 410-411 ◽  
Author(s):  
P. Verbrugghe ◽  
J. Vandekerkhof ◽  
I. Baeyens
Keyword(s):  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial

Pseudoaneurysm of the Anterior Tibial Artery After Ankle Arthroscopy Treated with Ultrasound-Guided Compression Therapy

2008 ◽  
Vol 90 (10) ◽  
pp. 2235-2239 ◽  
Author(s):  
Eui-Chan Jang ◽  
Byung Kook Kwak ◽  
Kwang-Sup Song ◽  
Ho-Joong Jung ◽  
Jae-Sung Lee ◽  
...  
Keyword(s):  
Compression Therapy ◽  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Ultrasound Guided ◽  
Tibial Artery ◽  
Anterior Tibial

Anterior Tibial Artery Pseudoaneurysm in a Patient with Hemophilia: A Complication of Ankle Arthroscopy

2007 ◽  
Vol 46 (4) ◽  
pp. 314-316 ◽  
Author(s):  
Rahul S. Kotwal ◽  
Ashok Acharya ◽  
Declan O’Doherty
Keyword(s):  
Hemophilia A ◽  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibial Artery ◽  
Anterior Tibial

scholarly journals Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Ichiro Tonogai ◽  
Tetsuya Matsuura ◽  
Toshiyuki Iwame ◽  
Keizo Wada ◽  
Tomoya Takasago ◽  
...  
Keyword(s):  
Lower Risk ◽  
Rare Case ◽  
Soccer Player ◽  
Vascular Complications ◽  
Ankle Arthroscopy ◽  
Anterior Tibial Artery ◽  
Fat Pad ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Neurovascular Structures

Ankle arthroscopy carries a lower risk of vascular complications when standard anterolateral and anteromedial portals are used. However, the thickness of the fat pad at the anterior ankle affords little protection for the thin-walled anterior tibial artery, rendering it susceptible to indirect damage during procedures performed on the anterior ankle joint. To our knowledge, only 11 cases of pseudoaneurysm involving the anterior tibial artery after ankle arthroscopy have been described in the literature. Here we reported a rare case of a 19-year-old soccer player who presented with pseudoaneurysm of the anterior tibial artery following ankle arthroscopy using an ankle distraction method and underwent anastomosis for the anterior tibial artery injury. Excessive distraction of the ankle puts the neurovascular structures at greater risk for iatrogenic injury of the anterior tibial artery during ankle arthroscopy. Surgeons should look carefully for postoperative ankle swelling and pain after ankle arthroscopy.

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